- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Payer Authorization Specialist performs insurance verification and pre- ... on all clinical procedures, diagnostics and operative services requiring prior authorization from the insurance plan. Verify patient's insurance benefit and create… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and ... for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's...provider and patient's plan of care as they secure payer authorization for medical services and optimize… more
- Trinity Health (Syracuse, NY)
- … authorization requests for service line. * Maintain subject matter expertise on authorization requirements by payer and order type to ensure proper ... Scans in approval letters after verifying for accuracy. Authorizations Specialist I * Contact the insurance company to check...authorization submission in a timely manner. * Troubleshoot authorization denials in efforts to overturn payer … more
- Trinity Health (South Bend, IN)
- …Delay/Deny Daily Log. Communicate with physician offices and patients when insurance payer denies authorization . If patient/physician decision is to continue ... time **Shift:** Day Shift **Description:** **JOB SUMMARY** Obtains accurate authorization and billing information to effectively authorize/pre-certify all patients… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, ... ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for...background and clinical information that is required for the payer to issue a referral or an authorization… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... * Develop thorough knowledge of all medications / procedures performed and payer authorization requirements for each * Understand insurance requirements for… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... . Develop thorough knowledge of all medications / procedures performed and payer authorization requirements for each . Understand insurance requirements for… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for prior ... authorization needs, obtaining needed prior authorizations, and properly documenting...pre-certifications and pre-authorizations from third-party payers in accordance with payer requirements + Alerts physician offices and patients to… more
- BJC HealthCare (St. Louis, MO)
- …experience) **Additional Information About the Role** BJC HealthCare is seeking an Authorization Specialist - Oncology team member who will be obtaining ... of medical records may be required if initiating the authorization request directly with a payer . + BJC has determined this is a safety-sensitive position.… more
- Catholic Health Services (Melville, NY)
- …was named Long Island's Top Workplace! Job Details The Financial Clearance Authorization Specialist is a highly skilled and productive individual responsible ... Clearance department of the Catholic Health (CH). The Financial Clearance Authorization Specialist will update patient insurance coverage, send notification… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is seeking a Per Diem Authorization Specialist in the Pre-Registration Dept at our Morristown Corporate Office. Essential ... terminology preferred + Applicable experience as Patient Access Representative or Authorization Specialist preferred At Atlantic Health System, our promise… more
- Methodist Health System (Dallas, TX)
- …(United States of America) **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, ... along with notification, prior authorization , and/or pre-determination of healthcare benefits for proposed medical...to build a winning team * Ability to interpret Payer Clinical Policies in reference to practice procedures. *… more
- WMCHealth (Suffern, NY)
- Authorization Specialist Company: Bon Secours Charity Medical Group City/State: Suffern, NY Category: Clerical/Administrative Support Department: ... Now External Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist is responsible for performing complex clerical procedures… more
- Trinity Health (Springfield, PA)
- …time **Shift:** **Description:** Mercy Home Health is seeking a full time Authorization Specialist who Monitors pending authorizations report and collaborates ... Duties may be accomplished in a remote work environment. **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of… more
- Select Medical (Scottsdale, AZ)
- …Hospital** A joint venture with Select Medical & HonorHealth Scottsdale, AZ **Prior Authorization Specialist - LPN or RN license** Fully Remote Position - ... _328222_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations Specialist_ **Street… more
- BayCare Health System (Clearwater, FL)
- …of two 8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( **non-benefit eligible** ) remote ... (after training, the team member will work PRN).** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
- Baptist Memorial (Memphis, TN)
- Overview Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services ... medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior-authorizations per payer guidelines prior to services being rendered and completes… more
- Genesis Healthcare (NM)
- …savvy to our team in this remote position as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility ... Medicaid Authorization tracking log to obtain valid authorizations for billing...staff to ensure verifications, authorizations, and documentation requirements meet payer requirements for clean claim submissions. Qualifications *4 years'… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to substantiate… more
- Penn State Health (Hershey, PA)
- …family medical or genetic information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient ... clinical data within the patient's EMR. Ability to understand third party payer and insurance complexities. Ability to communicate professionally with all patients,… more